Al-Omari Fahad K, Al-Asmary Saeed M
Department of Family Medicine, Al-Hada Military Hospital, PO Box 7035, Al-Taif, Kingdom of Saudi Arabia.
Saudi Med J. 2006 Dec;27(12):1887-93.
To assess the awareness, attitude and practice of evidence base medicine (EBM) among Al-Taif Consultant Physicians and to define the perceived barriers for practicing EBM.
It is a cross-sectional study conducted during December, 2004, at all governmental hospitals in Western region of Saudi Arabia at Al-Taif Governorate. Two hundred and eight self administrated questionnaires had been distributed to all consultant physicians in different specialties who met the inclusions criteria for this study.
The response rate was 85.5% of more than 16 different specialties involved in this study with different types of qualifications. The internal consistency reliability coefficient (Cronbach's alpha), that measures current attitude, was 0.76. The majority of respondents had a positive attitude toward EBM; 97% were welcoming EBM, 48% of participants reported regular use of EBM in their daily clinical practice, 42% sometimes and 9% never practice EBM. No distributed updated clinical letters, journals or guidelines was considered as the major barrier to practice EBM (60.3%), followed by no time available (31%) and then unavailability of internet access at locality (24%). Many of the respondents did not engage or receive formal training in the search strategy (59.3%), critical appraisal (54.8%) and (92%) would like to attend courses relevant in practicing EBM in the future (p<0.05). Participants reported a low level of awareness to extracting journals, review publication and databases related to EBM.
Al-Taif Consultant Physicians appeared enthusiastic to utilize EBM in daily clinical practice with strong welcoming attitude to it; nevertheless, they need more knowledge and training on how to review publications, databases related to EBM and promote use of EBM in routine practice to be ensured that physicians have both the skills and knowledge to practice.
评估塔伊夫市顾问医师对循证医学（EBM）的认知、态度和实践情况，并确定实施循证医学的感知障碍。
这是一项横断面研究，于2004年12月在沙特阿拉伯西部地区塔伊夫省的所有政府医院进行。向符合本研究纳入标准的不同专业的所有顾问医师发放了208份自填式问卷。
参与本研究的16个以上不同专业、具有不同资质的人员的回复率为85.5%。衡量当前态度的内部一致性信度系数（Cronbach's alpha）为0.76。大多数受访者对循证医学持积极态度；97%的人欢迎循证医学，48%的参与者报告在日常临床实践中经常使用循证医学，42%的人有时使用，9%的人从不实践循证医学。未分发最新的临床信函、期刊或指南被认为是实施循证医学的主要障碍（60.3%），其次是没有时间（31%），然后是当地无法上网（24%）。许多受访者没有参与或接受过搜索策略（59.3%）、批判性评价（54.8%）方面的正规培训，92%的人希望未来参加与循证医学实践相关的课程（p<0.05）。参与者报告对与循证医学相关的期刊、综述出版物和数据库的提取意识较低。
塔伊夫市的顾问医师似乎热衷于在日常临床实践中运用循证医学，并对其持强烈欢迎态度；然而，他们需要更多关于如何查阅与循证医学相关的出版物、数据库以及在常规实践中推广循证医学使用的知识和培训，以确保医师具备实践所需的技能和知识。
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